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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash Flows from Operating Activities:    
Net income attributable to UHS $ 321,628 $ 265,822
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation & amortization 148,345 141,003
Gain on sales of assets and businesses   (3,725)
Stock-based compensation expense 21,595 19,630
Changes in assets & liabilities, net of effects from acquisitions and dispositions:    
Accounts receivable (218,374) (74,446)
Accrued interest 11,086 3,453
Accrued and deferred income taxes 88,641 72,193
Other working capital accounts (42,824) (33,291)
Other assets and deferred charges (489) (20,307)
Other 3,811 8,897
Accrued insurance expense, net of commercial premiums paid 47,334 51,112
Payments made in settlement of self-insurance claims (20,705) (33,935)
Net cash provided by operating activities 360,048 396,406
Cash Flows from Investing Activities:    
Property and equipment additions (239,026) (208,539)
Proceeds received from sales of assets and businesses   5,428
Acquisition of businesses and property (8,314)  
(Outflows) inflows from foreign exchange contracts that hedge our net U.K. investment (23,695) 8,319
Decrease in capital reserves of commercial insurance subsidiary (264) 155
Net cash used in investing activities (271,299) (194,637)
Cash Flows from Financing Activities:    
Repayments of long-term debt (9,113) (63,905)
Additional borrowings 152,454 12,038
Repurchase of common shares (223,385) (142,084)
Dividends paid (13,534) (13,601)
Issuance of common stock 3,658 3,241
Profit distributions to noncontrolling interests (5,912) (4,480)
Purchase (sale) of ownership interests by (from) minority member 4,412 (156)
Net cash used in financing activities (91,420) (208,947)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 1,645 (492)
Decrease in cash, cash equivalents and restricted cash (1,026) (7,670)
Cash, cash equivalents and restricted cash, beginning of period 224,752 214,470
Cash, cash equivalents and restricted cash, end of period 223,726 206,800
Supplemental Disclosures of Cash Flow Information:    
Interest paid 27,718 48,116
Income taxes paid, net of refunds 5,638 2,671
Noncash purchases of property and equipment $ 116,196 $ 60,125